Hansen, Blaine R

Hansen, Blaine R is an sole proprietor health care provider with primary practice located at 3600 N Buffalo Dr , Las Vegas NV 89129-7444. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hansen, Blaine R can be contacted via phone (702) 568-1600.

Contact Information

Primary practice address
3600 N Buffalo Dr Las Vegas NV 89129-7444
Phone: (702) 568-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6573 Arizona
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 51234029921 Utah
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X S3-152C Nevada

Profile Details

NPI number 1326102211
LBN Legal business name Hansen, Blaine R
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Nov 2nd, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers